Lining the superiorly based pharyngeal flap.

Developing a mucosal flap to line the nasal surface of a superiorly based pharyngeal flap can present technical difficulties, particularly in the scarred and immobile soft palate. Employing the technique described, the forward attachment of the pharyngeal flap to the nasal surface is made through a long, horizontal incision high in the soft palate. The dissection of the nasal lining is started at this point and carried posteriorly to provide a single broad mucosal flap, hinged near the margin of the velum, and turned backward to line the raw area of the pharyngeal flap. This minor variation in technique has made the operative procedure easier to perform, resulting in fewer complications.

Anatomical findings in median cleft of upper lip.

We present 3 cases of median cleft lip which occurred in 3 patients of differing racial origins. The anatomical findings are presented in the two clefts we repaired.

Repair of extensor tendon injuries of the hand.

We have presented methods for treating extensor tendon injuries from the interphalangeal joint to the wrist and the musculotendinous junction in the forearm. Early and proper splinting in the treatment of extensor tendon injuries is more important than a specific method of surgical repair. We emphasize the need for prolonged splinting, up to eight weeks in distal injuries. Immobilizing the finger in full extension or hyperextension is necessary at the distal and proximal interphalangeal joints. Correct splinting is mandatory in any method of treatment. Reconstruction of the extensor mechanism is difficult and the results are unpredictable.